Veterans Prescription Service

To provide eligible veterans and certain dependents and survivors of veterans with prescription drugs and expendable medical supplies from VA pharmacies upon presentation of prescription(s) from a VA provider or VA authorized provider.



Agency - Department of Veterans Affairs

The Department of Veterans Affairs strives for excellence in patient care and veteran's benefits for its constituents through high quality, prompt and seamless service to United States veterans.

Office - Initial contact should be made with the nearest Veterans Hospital Facility listed in Appendix IV of the Catalog under Veterans Health Administration.
Website Address

http://www.va.gov




Program Accomplishments

Data unavailable.

Uses and Use Restrictions

Veterans receiving Veterans Outpatient Care (64.011) can receive prescription drugs and expendable medical supplies prescribed by a VA provider or VA authorized provider.

These prescriptions will be dispensed by VA Pharmacies either directly to veterans or mailed upon request.

In territories where there are no VA pharmacies, payment for prescribed drugs is provided for certain eligible veterans on a reimbursable basis.

Contact the Health Administration Center, Denver, CO, at 1-800-733-8387 for information.

Widows and dependent children may be eligible for reimbursement for medications through the ChampVA program.

Contact the Health Administration Center, Denver, Co for information.

Use Restrictions: Limited to drugs prescribed by VA physicians, dentists, podiatrists or other VA provider or authorized VA provider based on the VA National Formulary System.

Veterans receiving medications on an outpatient basis from VA facilities, for the treatment of a nonservice-connected disability or condition, are required to make a co-payment of $2.00 for each 30-day or less supply of medication.

Veterans receiving medications for the treatment of a service-connected condition and veterans rated 50 percent or more service-connected are exempt from the co- payment requirement for medications.

Prescriptions are not filled for alcoholic beverages or dietary supplements used for weight control.

Nonservice-connected Veterans living abroad are ineligible for program benefits.

However, service-connected veterans may be eligible for reimbursement for medications.

Contact the Health Administration Center, Denver, CO, at 1-800-733-8387 for information.

Eligibility Requirements

Applicant Eligibility

Veterans receiving outpatient care (see Veterans Outpatient Care 64.011); service connected veterans and World War I veterans if they are authorized non-VA care (Fee Basis) are eligible for prescriptions.

Also, veterans in receipt of aid and attendance or housebound benefits are eligible for prescriptions.

Veterans whose pension payments have been discontinued because their annual income exceeds the applicable maximum limitations may continue to be eligible for prescription drugs and expendable medical supplies until their income exceeds the maximum limitation by more than $1,000.

Beneficiary Eligibility

Veterans receiving outpatient care (see Veterans Outpatient Care 64.011); service connected veterans and World War I veterans if they are authorized non-VA care (Fee Basis) are eligible for prescriptions. Also, veterans in receipt of aid and attendance or housebound benefits are eligible for prescriptions. Veterans whose pension payments have been discontinued because their annual income exceeds the applicable maximum limitations may continue to be eligible for prescription drugs and expendable medical supplies until their income exceeds the maximum limitation by more than $1,000.

Credentials/Documentation

Eligible veterans must furnish prescriptions(s) from a VA physician, dentist, podiatrist, or VA authorized provider. Only veteran patients in receipt of aid and attendance or housebound benefits may furnish prescriptions from any licensed physician, dentist, or podiatrist.

Aplication and Award Process

Preapplication Coordination

None.

This program is excluded from coverage under E.O.

12372.

Application Procedures

Veterans should follow the application process for Veterans Outpatient Care (64.011). Once veterans are accepted for outpatient care the eligibility information is shared with the pharmacy computer system, veterans may then present prescriptions to a VA Pharmacy.

Award Procedures

Not applicable.

Deadlines

None.

Authorization

Public Laws 91-500, 93-82, 94-581, and 101-508; 38 U.S.C. 612.

Range of Approval/Disapproval Time

Not applicable.

Appeals

Not applicable.

Renewals

Not applicable.

Assistance Considerations

Formula and Matching Requirements

Not applicable.

Length and Time Phasing of Assistance

None.

Post Assistance Requirements

Reports

None.

Audits

None.

Records

None.

Financial Information

Account Identification

36-0160-0-1-703.

Obigations

(Salaries and Expenses) FY 07 $4,324,952,000; FY 08 est $4,688,246,000; and FY 09 est $5,100,409,000.

Range and Average of Financial Assistance

Not applicable.

Regulations, Guidelines, and Literature

VA Pamphlet 80-99-1, 38 CFR 17.60; "Federal Benefits for Veterans and Dependents", $5.00, available from Superintendent of Documents, Government Printing Office, Washington, DC 20402.

Information Contacts

Regional or Local Office

Initial contact should be made with the nearest Veterans Hospital Facility listed in Appendix IV of the Catalog under Veterans Health Administration.

Headquarters Office

Chief Consultant, Pharmacy Benefits Management, Department of Veterans Affairs, Washington, DC 20420. Telephone: (202) 273-8429.

Criteria for Selecting Proposals

Not applicable.


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